| Department File Number : | M201988029 |
| Claim Number : | 161044 |
| Date Submitted : | 3/1/2019 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| HEALTH CARE INDEMNITY, INC. | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 61-0904881 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Frank | J | Novy III | ||
| Street Address | |||||
| PO Box 3492 | |||||
| City | State | Zip | |||
| Placida | FL | 33946 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (941) 451 - 0019 | fjnovy3@gmail.com | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Frank | J | Novy III | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 21298 Olean Blvd | ||||
| City | State | Zip Code | County | ||
| Port Charlotte | FL | 33952 | Charlotte | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 161044 | $1,000,000 | $3,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME95991 | Emergency Medicine - No Major Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Charlotte | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Emergency Room | |||||
| Name of Institution | Code | ||||
| FAWCETT MEMORIAL HOSPITAL | 100236 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Radiology, Emergency Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 1/30/2016 | 2/15/2017 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Syncope with fall, resulting in subdural hematoma. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Alleged failure to treat elevated INR with respect to head injury; however, treating physician following established protocol at hospital. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| There was no misdiagnosis. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Alleged failure to treat elevated INR with respect to head injury; however, treating physician following established protocol at hospital. Ultimately months later resulting in patients death. | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 2/15/2017 | 18000077CA | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Charlotte | 1/22/2019 | ||||
| Other Defendants Involved in this Claim | |||||
| LEROUX, PIERRE M MEMON, MUHAMMED Y | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference. | |||||
| Final Method of Claim Disposition | |||||
| Settled by parties | |||||
| Court Decision | Other | ||||
| No Court Proceedings. | |||||
| Arbitration | |||||
| Claim subject to arbitration, but settlement reached in lieu of award. | |||||
| Date of Payment | |||||
| 1/22/2019 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $475,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
| Deductible | $0 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| Revise policy at the institution concerning head bleeds and reversal of such bleed. | |||||||||||||||||||||
| Updates | |
| No updates found. |
| Department File Number : | M201988413 |
| Claim Number : | 161044 |
| Date Submitted : | 2/20/2020 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| HEALTH CARE INDEMNITY, INC. | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 61-0904881 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Christina | J | Stoker | ||
| Street Address | |||||
| 2515 PARK PLAZA, BLDG 2-3E | |||||
| City | State | Zip | |||
| Nashville | TN | 37203 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (615) 344 - 1779 | (866) 715 - 7235 | christina.stoker@hcahealthcare.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | FRANK | J | NOVY III | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 470 KETTLE HARBOR DRIVE | ||||
| City | State | Zip Code | County | ||
| PLACIDA | FL | 33946 | Charlotte | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| HCI-10116 | $1,000,000 | $3,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME95991 | Emergency Medicine - Including Major Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Charlotte | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Emergency Room | |||||
| Name of Institution | Code | ||||
| FAWCETT MEMORIAL HOSPITAL | 100236 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Other | EMERGENCY ROOM | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 1/30/2016 | 3/30/2017 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| PATIENT WITH HISTORY OF TAKING COUMADIN PRESENTED POST FALL WITH HEAD INJURY. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| EVALUATED; ACUTE BILATERAL OCCIPITAL HEMATOMA. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| FAILURE TO ORDER REVERSAL THERAPY ON PATIENT WITH SUBDURAL HEMATOMA. | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 2/5/2018 | 18000077CA | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Charlotte | 3/13/2019 | ||||
| Other Defendants Involved in this Claim | |||||
| MEMON, M.D., MUHAMMED Y VEGA, R.N., JENNIFER BIELFELT, D.O., B. H CHG MEDICAL STAFFING, INC. SUNAPEE INPATIENT SERVICES, LLC | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference. | |||||
| Final Method of Claim Disposition | |||||
| Settled by parties | |||||
| Court Decision | Other | ||||
| No Court Proceedings. | |||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| 1/22/2019 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $475,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $62,601 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $22,686 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $475,000 | ||||||||||||||||||||
| Deductible | $0 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| REFERRED TO RISK MANAGEMENT. | |||||||||||||||||||||
| Updates | |
| No updates found. |
Does Dr. FRANK J NOVY III, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. FRANK J NOVY III, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).